Organization
BEACON AMBULANCE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY PALMER (CEO)
(212) 717-5425
Entity
Organization
Contact information
Practice address
36 ECHO GROVE AVE, LYNN, MA 01905-1967
(781) 599-1119
Mailing address
36 ECHO GROVE AVE, LYNN, MA 01905-1967
(617) 813-1122
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001288545
STATE CORPORATION
MA
Enumeration date
11/13/2018
Last updated
05/02/2019
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